Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03766, USA.
J Vasc Surg. 2012 Aug;56(2):556-62. doi: 10.1016/j.jvs.2012.03.260. Epub 2012 Jun 26.
The escalating cost burden of hospital readmission has prompted recent nationwide efforts aimed at reducing the incidence of this important quality measure. Because patients undergoing vascular surgery account for a significant proportion of readmissions, vascular surgeons may face reduced reimbursements in the near future if these trends continue. However, risk factors associated with readmission remain poorly defined, and further research is needed to identify interventions that will prevent readmission following vascular procedures. Accordingly, this manuscript will (1) propose a conceptual model to explain the driving forces behind readmissions in vascular surgery, (2) review current evidence directed at identifying risk factors and evaluating interventions to reduce readmissions across different medical and surgical specialties, and (3) identify key areas in patient care where targeted research or interventions may be implemented in vascular surgery.
不断增加的医院再入院费用负担促使最近全国范围内努力降低这一重要质量指标的发生率。由于接受血管外科手术的患者占再入院的很大一部分，如果这些趋势持续下去，血管外科医生在不久的将来可能会面临报销减少的情况。然而，与再入院相关的风险因素仍未得到明确界定，需要进一步研究以确定可预防血管手术后再入院的干预措施。因此，本文将（1）提出一个概念模型来解释血管外科再入院的驱动因素，（2）回顾当前针对不同医学和外科专业确定风险因素和评估干预措施以减少再入院的证据，（3）确定血管外科学中可能实施针对性研究或干预的患者护理关键领域。
